Anticoagulation Management With Coumarinic Drugs in Chilean Patients
| Autor: | Elena Nieto MD, Marcelo Suarez MSc, Ángela Roco PhD, Juan Carlos Rubilar MSc, Francisca Tamayo PCh, Mario Rojo MSc, Gabriel Verón MSc, Juliana Sepúlveda MD, Fanny Mejías MD, Patricio Salas MD, María Góngora MD, Patricio Andrade MD, Alicia Canales MD, Jorge Carabantes MD, Daniela Cruz MSc, Emma Contreras MSc, Daniela Pavez MSc, Paulina Charo MSc, Gabriela Bravo MSc, Juan Calderón MSc, Carlos Gallardo MD, Patricia Vega MSc, Luis A. Quiñones PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Clinical and Applied Thrombosis/Hemostasis, Vol 25 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1938-2723 10760296 |
| DOI: | 10.1177/1076029619834342 |
| Popis: | Warfarin and acenocoumarol are used in various cardiovascular disorders to improve the prognosis of patients with thromboembolic disease. However, there is a lack of substantial efficacy and safety data on antithrombotic prophylaxis in several countries, particularly in Latin America. The aim of this study was to provide information about the efficacy of anticoagulants in Chilean patients. Data were collected from databases of the Western Metropolitan Health Service, Santiago, Chile. We identified 6280 records of patients receiving anticoagulant treatment. The three most common diagnoses were rhythm disorder (43.7%), venous thrombosis (22%), and valvular prosthesis (10.7%). The majority of patients (98.5%) received acenocoumarol while 1.5% of patients received warfarin, at weekly therapeutic doses of 13.6 mg and 30.4 mg, respectively. For total diagnoses, the median time in the therapeutic range was 50%. However, better results, 66.7%, were observed when a telemedicine strategy was used only in Santiago Province. Our findings emphasize that in Chile, where the number of patients receiving anticoagulant treatment increases every year, telemedicine, by committed teams, improves the use of oral anticoagulants and is able to increase quality indicators of anticoagulant treatment care. |
| Databáze: | Directory of Open Access Journals |
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